Case 1: Pneumonia 1st Sem:Prelim

ILOILO DOCTORS’ COLLEGE

COLLEGE OF NURSING
West Avenue, Molo, Iloilo City

DRUG STUDY

Drug Name Classification and Indications and Side Effects and Special Precautions Nursing Responsibilities
Mechanism of Contraindications Adverse Effects
Action
Classification: Indication: Side effects: Liquid products, chewable tablets, or Check doctor's order
Generic antipyretic analgesic Paracetamol (acetaminophen) rash, itching/swelling dissolving/effervescent tablets and Check the right client
Name: acetaminophen is a pain reliever and a fever (especially of the powders may contain sugar or Remember the 10R's of drug
Paracetamol reducer. This drug is used to face/tongue/throat) aspartame. Caution is advised if you administration
Action: treat mild to moderate pain severe dizziness, have diabetes, phenylketonuria (PKU), Explain purpose of giving
Trade Name: Paracetamol has a (from headaches, menstrual trouble breathing. or any other condition that requires you medication to the client
Biogesic central analgesic periods, toothaches, to limit/avoid these substances in your Administer drug according to
effect that is mediated backaches, osteoarthritis, or diet. If you have any of these the physician's prescription
Dosage: 25 through activation of cold/flu aches and pains) and conditions, ask your doctor or Monitor CBC, liver and renal
mg syrup descending to reduce fever. Adverse effect: pharmacist about using these products functions. Assess for fecal
serotonergic Contraindication: low fever with nausea, safely. occult blood and nephritis.
Route: pathways. Debate This drug is contraindicated stomach pain, and loss Take with food or milk to
Oral/PO exists about its to latient with: acute liver of appetite; dark Before using this product, tell your minimize GIupset
primary site of action, failure. liver problems. severe urine, clay-colored doctor or pharmacist your medical Report N&V. cyanosis,
Frequency which may be renal impairment a condition stools; or jaundice history, especially of: liver disease, shortness of breath and
and timing: 1 inhibition of where the body is unable to (yellowing of the skin regular use/abuse of alcohol. abdominal pain as these are
tbsp PRN prostaglandin (PG) maintain adequate blood flow or eyes). signs of toxicity.
synthesis or through called shock. Before taking acetaminophen, tell your Report pain that persists for
an doctor or pharmacist if you are allergic more than 3-5 days
active metabolite to it; or if you have any other allergies.
influencing This product may contain inactive
cannabinoid receptors. ingredients, which can cause allergic
reactions or other problems. Talk to
your pharmacist for more details.
 Case 1: Pneumonia 1st Sem:Prelim

ILOILO DOCTORS’ COLLEGE

COLLEGE OF NURSING
West Avenue, Molo, Iloilo City

DRUG STUDY
Drug Name Classification and Indications and Side Effects and Adverse Effects Special Precautions Nursing Responsibilities
Mechanism of Action Contraindications
GENERIC CLASSIFICATION: INDICATIONS: Its a diarrhea or loose stools, Use cautiously in patients with Monitor patient for
NAME: ANTIBIOTIC macrolide antibacterial impaired hepatic function or superinfection. Drug may
Azithromycin MECHANISM OF drug indicated for the nausea, myasthenia gravis cause overgrowth of non-
ACTION: treatment of patients with abdominal pain, Use cautiously in patients with susceptible bacteria and fungi
BRAND Bind to the 50S infections caused by torsades de pointes and fata Check doctor’s order
NAME: subunit of bacterial susceptible strains of the stomach upset, arrythmias. carefully
AzaSite, ribosomes, blocking designated Observe rights in medication
Zithromaz, protein synthesis, microorganisms in the vomiting, administration such as giving
Zmax bacteriostatic or conditions listed below. constipation, the right drug to the right
bactericidal, depending Acute bacterial worsening patient using the right route
ROUTE: on concentration of COPD Community- dizziness, and at the right time.
ORAL acquired pneumonia Monitor patient for allergic
Treatment for acute tiredness, and skin reaction.
DOSAGE: bacterial sinusitis headache, Monitor patient for jaundice
500mg Urethritis and cervicitis or yellowing of skin and
Pharyngitis, Tonsilitis vaginal itching or discharge sclera, abdominal pain and
FREQUENC Bacterial conjunctivitis nausea occur.
Y: CONTRAINDICATION nervousness,
OD for 7days S: Contraindicated in sleep problems (insomnia),
8:00am patient with hypersensitive
to azithromycin and in skin rash or itching,
those with history of
ringing in the ears,
cholestatic jaundice or
hepatic dysfunction. hearing problems,
or decreased sense of taste or smell.
 Case 1: Pneumonia 1st Sem:Prelim

ILOILO DOCTORS’ COLLEGE

COLLEGE OF NURSING
West Avenue, Molo, Iloilo City

DRUG STUDY
Drug Name Classification and Indications and Side Effects and Adverse Effects Special Precautions Nursing Responsibilities
Mechanism of Contraindications
Action
GENERIC NAME: CLASSIFICATION: INDICATIONS: Bladder pain This medicine may cause Monitor patients for
Piperacillin/Tazobactam ANTIBIOTICS; For the treatment of bloating or swelling of the face, serious allergic reactions, allergic reactions
Extended-spectrum uncomplicated and arms, hands, lower legs, or feet including anaphylaxis, which Check doctor’s order
DOSAGE: penicillins-beta- complicated skin and skin blurred vision can be life-threatening and carefully
4.5G 1 vial lactamase inhibitors structure infections, burning upper abdominal or require immediate medical Observe rights in
including cellulitis, skin stomach pain attention. medication
ROUTE: abscesses, diabetic foot ulcer, changes in urination This medicine may cause administration such as
IV via Soluset MECHANISM OF surgical incision site chest pain serious bleeding problems. giving the right drug to
ACTION: infections, animal bite confusion the right patient using
FREQUENCY: Inhibits cell-wall wounds, and necrotizing dizziness, faintness, or the right route and at the
Q8H synthesis during infections. lightheadedness when getting up right time.
8-4-12 bacterial For the treatment of suddenly from a lying or sitting Monitor patient for
multiplication. community-acquired position diarrhea and initiate
pneumonia (CAP), fever or sweating therapeutic measures as
nosocomial pneumonia, and headache needed.
pleural empyema†. lower back or side pain Monitor renal function
For the treatment of nausea or vomiting during therapy
nosocomial pneumonia and pain, tenderness, or swelling of
pleural empyema† using the foot or leg
conventional dosing. pain, warmth, or burning in the
CONTRAINDICATION: fingers, toes, and legs
Contraindicated in patients problems with vision or hearing
hypersensitive to drug, other skin rash
penicillin, cephalosporins or slow or fast heartbeat
beta-lactamase inhibitors troubled breathing
 Case 1: Pneumonia 1st Sem:Prelim

ILOILO DOCTORS’ COLLEGE

COLLEGE OF NURSING
West Avenue, Molo, Iloilo City

DRUG STUDY

Drug Name Classification and Mechanism of Indications and Side Effects and Special Precautions Nursing Responsibilities
Action Contraindications Adverse Effects
GENERIC NAME: CLASSIFICATIONS: INDICATIONS: Dizziness Fetal toxicity Monitor patient’s BP
Losartan potassium Antihypertensives: Angiotensin For the treatment of Hyperkalemia Hypersensitivity: closely and evaluate
receptors blockers hypertension. Hypotension Angioedema. effectiveness of therapy
For severe hypertension Angioedema Monitor patients who are
BRAND NAME: For stroke prophylaxis in also taking diuretics for
Cozaar hypertensive patients with left symptomatic hypotension.
ventricular hypertrophy Observe rights in
MECHANISM OF ACTION: (LVH). medication administration
DOSAGE: Inhibits vasoconstrictive and aldosterone such as giving the right
50mg/tab OD 1 tab secreting action of angiotensin II by drug to the right patient
blocking angiotensin II receptor on the using the right route and at
surface of vascular smooth muscle ang the right time.
ROUTE: other cells CONTRAINDICATIONS: Check the doctor’s order
ORAL Contraindicated in patients carefully
hypersensitive to drugs
Pregnant Woman
FREQUENCY :
OD 8:00 am
 Case 1: Pneumonia 1st Sem:Prelim

ILOILO DOCTORS’ COLLEGE

COLLEGE OF NURSING
West Avenue, Molo, Iloilo City

DRUG STUDY

Drug Name Classification and Mechanism Indications and Side Effects and Adverse Effects Special Precautions Nursing
of Action Contraindications Responsibilities
GENERIC CLASSIFICATION: INDICATION: Diarrhea Before taking this Monitor the
NAME: Vitamins This nutritional supplement nausea drug tell your doctor patient for any
Sodium MECHANISM OF ACTION: is for the treatment and vomiting or pharmacist if you serious allergic
ascorbate + This nutritional supplement prevention of vitamin C and abdominal cramps/pain have any allergies. reaction.
Zinc contains vitamin C and zinc. zinc deficiencies. heartburn may occur This product may Observe rights in
Vitamin C and zinc together painful urination, contain inactive medication
BRAND help the body's natural defense pink/bloody urine. ingredients (such as administration
NAME: against damaging free radicals A serious allergic reaction, peanut/soy), which such as giving
ImmunoPro (antioxidant effect) and help including: rash, itching/swel can cause allergic the right drug to
boost immune function. Free CONTRAINDICATIONS: ling (especially of the reactions or other the right patient
DOSAGE: radicals are highly reactive and If the patient is allergic to face/tongue/throat), problems. using the right
500mg unstable chemicals generated any component of the severe dizziness, trouble route and at the
during normal body activities product. breathing. right time.
ROUTE: that require oxygen (e.g.,
Oral respiration, digestion, blood
FREQUENCY: circulation, immune system
OD 8:00am response, increased physical
activity, etc.) and after exposure
to UV light, cigarette smoke and
various pollutants. One major
effect of zinc is on the ability of
cells to properly replicate their
DNA, which is required for cells
to multiply.
 Case 1: Pneumonia 1st Sem:Prelim

ILOILO DOCTORS’ COLLEGE

COLLEGE OF NURSING
West Avenue, Molo, Iloilo City

DRUG STUDY

Drug Name Classification and Indications and Side Effects and Adverse Effects Special Precautions Nursing Responsibilities
Mechanism of Action Contraindications
GENERIC CLASSIFICATION: INDICATION: Bronchospasm Use cautiously in elderly or Check doctor’s order carefully
NAME: Mucolytics Use to treat acetaminophen Disagreeable odor deliberated patient with Observe rights in medication
Acetylcysteine toxicity and adjunctive therapy Drowsiness severe respiratory administration such as giving
for abnormal viscid or Fever insufficiency the right drug to the right
BRAND thickened mucous secretions in Coughing up blood patient using the right route
NAME: MECHANISM OF patient with pneumonia, Increased volume of bronchial and at the right time.
Acetadote, ACTION: bronchitis, bronchiectasis, secretions Monitor asthmatic patient
Cetylev, Reduce the viscosity of primary amyloidosis of the Irritation of tracheal or closely the volume of
Parvole pulmonary secretions by lung, TB etc. bronchial tract bronchial secretions may
splitting disulfide linkages Nausea increase after administration;
DOSAGE: between mucoprotein Runny or stuffy nose if cough response is
600mg molecular complex. Also CONTRAINDICATION: Swelling and sores inside inadequate, consider
restores liver stores of Contraindicated in patients the mouth maintaining airway by
ROUTE: glutathione to treat hypersensitive to drug. Vomiting mechanical suction if
PO acetaminophen toxicity. Clamminess necessary; if airway block
FREQUENCY: Wheezing arises because of a foreign
OD HS Shortness of breath body or local accumulation,
8:00 pm clear by
endotracheal aspiration, with
or without bronchoscopy.
Monitor the patient for any
adverse effect.
 Case 1: Pneumonia 1st Sem:Prelim

ILOILO DOCTORS’ COLLEGE

COLLEGE OF NURSING
West Avenue, Molo, Iloilo City

DRUG STUDY

Drug Name Classification and Indications and Side Effects and Adverse Special Precautions Nursing Responsibilities
Mechanism of Action Contraindications Effects
Generic Name: Classification: Indication: Side Effects: Patient with CV disease (e.g. Check and verify with doctor’s
Salbutamol Antiasthmatic and Salbutamol Nebuliser headache. arrythmia, coronary insufficiency, order and Kardex.
nebule COPD Preparations Solution is indicated for use feeling nervous, hypertension, heart failure), Observe rights
in the routine management restless, excitable diabetes mellitus, glaucoma, in medication administration such
Brand Name: of chronic bronchospasm and/or shaky. hyperthyroidism, hypokalaemia, as giving the right drug to the
Ventolin Action: unresponsive to fast, slow or uneven seizures. Renal impairment. right patient using the right route
Salbutamol is a direct- conventional therapy and heartbeat. Children and elderly. Pregnancy and at the right time.
Dosage: 1 ml acting the treatment of acute bad taste in the and lactation. Monitor ECG, serum electrolytes
sympathomimetic that severe asthma. mouth. and thyroid function test results.
Route: Inhaled acts on β2-receptors to dry mouth. Administer accurately because
Route relax bronchial smooth Contraindication: sore throat and cough. adverse reactions and tolerance
muscle with less Pre-existing or risk factors inability to sleep. might occur.
Frequency and prominent effect on the for ischemic heart disease, Raise side rails up because client
Timing: q6hr heart. gestational age <22 weeks, Adverse Effects: might be restless and drowsy
conditions in which Palpitations because of this drug.
prolongation of pregnancy sinus tachycardia,
is hazardous, intrauterine anxiety,
fetal death, known lethal tremors
congenital or lethal increased blood
chromosomal malformation, pressure
pulmonary hypertension.
 Case 1: Pneumonia 1st Sem:Prelim

References:
Nursing 2020 Drug Handbook Volume 1 & 2